<%@ page contentType="text/html; charset=utf-8" %>
<form id="editLiverDocForm" onsubmit="return false;">
<table>
<tr>
    <td>是否确诊为肝硬化</td>
    <td><input type="text" name=""/></td>
</tr>
<tr>
    <td>起病时间</td>
    <td><input type="text" name=""/></td>
</tr>
<tr>
    <td>确诊时间</td>
    <td><input type="text" name=""/></td>
</tr>
<tr>
    <td>确诊医院</td>
    <td><input type="text" name=""/></td>
</tr>
<tr>
    <td>诊断标准</td>
    <td><input type="text" name=""/></td>
</tr>
</table>
</form>
